What Pearl Health does
Pearl Health is the operating system for value-based primary care, helping independent and group primary care providers (PCPs) succeed in Medicare's ACO REACH, MSSP, and other risk-based payment programs. The platform combines risk-adjusted patient data, AI-driven prioritization, and embedded workflows to tell PCPs which patients most need outreach today, which are at risk of avoidable hospitalization, and where care gaps are dragging down quality scores and shared-savings payouts.
Unlike traditional health-tech that piles more dashboards on overworked clinicians, Pearl integrates into the practice's existing EHR (Athenahealth, eClinicalWorks, Epic, etc.) and delivers a daily action list that doctors, MAs, and care managers can actually work. Pearl also runs an ACO that bears risk alongside its provider partners, aligning the company's economic upside with whether patients get better outcomes at lower cost.
Who it's for
Pearl Health targets independent primary care practices, group practices, and IPAs participating in Medicare value-based care programs — particularly ACO REACH, MSSP, and Medicare Advantage shared-risk arrangements.
Pricing
Pearl Health is offered through risk-sharing partnerships and ACO participation arrangements rather than seat-based SaaS pricing. Practices typically join Pearl's ACO and share in upside savings, with software access included.
Team & funding
Pearl Health was founded in 2020 by Michael Kopko (CEO), Jeff De Flavio (Executive Chairman), Ankit Patel, and Kevin Ryan. The company has raised over $100M total, headlined by a $75M Series B in February 2023 led by Andreessen Horowitz (a16z) Growth Fund and Viking Global Investors, with AlleyCorp and SV Angel's Growth Fund. Pearl previously raised a Series A led by AlleyCorp and a $4M seed. Pearl partners with thousands of primary care providers across more than 40 states.
Position vs competitors
Pearl Health competes with Aledade, Privia Health, agilon health, Honest Medical, and Iora Health (One Medical / Amazon). Its differentiation is a software-first, EHR-integrated platform combined with a value-based-care entity that takes risk alongside providers — rather than a heavier services play.